| NPI | 1043549181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L FOSTER Office Manager 313-535-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301035487) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-06-23 |